During a cardiovascular assessment, the nurse knows that a thrill is:
a. Vibration that is palpable.
b. Palpated in the right epigastric area. c.
Associated with ventricular hypertrophy.
d. Murmur auscultated at the third intercostal space.
ANS: A
A thrill is a palpable vibration that signifies turbulent blood flow and accompanies loud murmurs. The absence of a thrill does not rule out the presence of a murmur.
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The staff educator is presenting a workshop on valvular disorders. When discussing the pathophsiology of aortic regurgitation the educator points out the need to emphasize that aortic regurgitation causes what?
A) Cardiac tamponade B) Left ventricular hypertrophy C) Right-sided heart failure D) Ventricular insufficiency
The nurse is instructing a client who has been started on colchicine for the treatment of gout. The following information should be included:
A) Limit fluid intake with the medicine. B) Take with food. C) Report any GI distress and fatigue. D) Have serum uric acid levels checked.
A patient with nasal trauma has clear, watery fluid dripping from the nose. The nurse performs the halo test, which is positive. What does this positive result indicate?
1. A fracture of the ethmoid or sphenoid sinus 2. The need to suction the patient 3. The presence of cerebrospinal fluid (CSF) 4. A chyle leak
Which of the ordered medications will alter the ammonia levels, and how?
What will be an ideal response?